Clinical features and therapeutic management of patients admitted to Italian acute hospital psychiatric units: The PERSEO (psychiatric emergency study and epidemiology) survey

被引：15

作者：

Ballerini A. ^{[1
,55
]}

Boccalon R.M. ^{[2
,43
]}

Boncompagni G. ^{[3
,59
]}

Casacchia M. ^{[4
,31
]}

Margari F. ^{[5
]}

Minervini L. ^{[6
]}

Righi R. ^{[7
,24
]}

Russo F. ^{[8
]}

Salteri A. ^{[9
,52
]}

Frediani S. ^{[10
,73
]}

Rossi A. ^{[10
]}

Scatigna M. ^{[10
]}

Barale F. ^{[11
]}

Bonzano A. ^{[11
]}

Scioli R. ^{[11
]}

Bellomo A. ^{[12
]}

De Giorgi A. ^{[12
]}

Cammeo C. ^{[12
]}

Cao A. ^{[13
]}

Zara B. ^{[13
]}

Conforti I. ^{[14
]}

Chillemi C. ^{[14
]}

Dagnino L. ^{[15
]}

Ponzoni M. ^{[15
]}

Della Pietra F. ^{[16
,39
]}

Benettazzo M. ^{[16
,39
]}

Esposito V. ^{[17
]}

Sposito M. ^{[17
]}

Fato M. ^{[18
]}

Signorello G. ^{[18
]}

Fiorenzoni S. ^{[19
]}

Singali A. ^{[19
]}

Margari F. ^{[5
]}

Sicolo M. ^{[20
]}

Martino C. ^{[21
]}

Leria G. ^{[21
]}

Tavoaccini L. ^{[22
]}

Nigro G. ^{[22
]}

Russo V. ^{[23
]}

La Roere R. ^{[23
]}

Righi R. ^{[7
,24
]}

Mazzo M. ^{[24
]}

Rocchetti R. ^{[25
]}

De Martiis L. ^{[25
]}

Rodighiero S. ^{[26
]}

Morello M. ^{[26
]}

Vescera M. ^{[27
]}

Pisciotti D.G. ^{[27
]}

Villari V. ^{[28
]}

Barzegna G. ^{[28
]}

机构：

[1] Servizio Psichiatrico Diagnosi e Cura, Santa Maria Nuova Hospital, Firenze

[2] Servizio Psichiatrico Diagnosi e Cura, Sant' Anna Hospital, Ferrara

[3] Servizio Psichiatrico Diagnosi e Cura, S. Orsola Malpighi Hospital, Bologna

[4] Clinica Psichiatrica, San Salvatore Hospital, L'Aquila

[5] Istituto di Clinica Psichiatrica, Policlinico Consorziale Hospital, Bari

[6] Dipartimento di Salute Mentale, Azienda USL 16 Hospital, Padova

[7] Servizio Psichiatrico Diagnosi e Cura, Hospital of Adria, Rovigo

[8] Servizio Psichiatrico Diagnosi e Cura, Nuovo Regina Margherita Hospital, Roma

[9] Servizio Psichiatrico Diagnosi e Cura, Vimercate Civil Hospital, Milano

[10] Medical Department, Eli Lilly Italia, Firenze

[11] Neurology Institute of Mondino Pavia, Pavia

[12] Osp. Riuniti Hospital Foggia, Foggia

[13] Psychiatric Department Parma, Parma

[14] Ospedali Riuniti Hospital Bergamo, Bergamo

[15] Azienda USL 16 Hospital Padova, Padova

[16] Psychiatric Department Palermo, Palermo

[17] Hospital Department of Ponente Genova, Genova

[18] Ponte Nuovo Hospital Firenze, Firenze

[19] Policlinico Consorziale Hospital Bari, Bari

[20] Santa Croce Hospital Torino, Torino

[21] Martini Hospital Torino, Torino

[22] SS. Immacolata Hospital Chieti, Chieti

[23] Umberto I Hospital of Monseice Padova, Padova

[24] Hospital of Monselice Padova, Padova

[25] Iannelli Hospital Consenza, Consenza

[26] Molinette S. G. Battista Hospital Torino, Torino

[27] Hospital of Venere Bari, Bari

[28] Angelucci Hospital Roma, Roma

[29] SSS. Trinità Hospital Novara, Novara

[30] Hospital Taranto, Taranto

[31] Hospital of Sant' Arsenio Salermo, Salermo

[32] L. Sacco Hospital Milano, Milano

[33] Beato Angelo Hospital Cosenza, Cosenza

[34] Azienda USL 16 Hospital Padova, Padova

[35] San Paolo Hospital Savona, Savona

[36] S. Luigi Gonzaga Hospital Torino, Torino

[37] S. Timoteo Hospital Campobasso, Campobasso

[38] Sant' Anna Hospital Ferrara, Ferrara

[39] Osp. Maggiore Hospital Cremona, Cremona

[40] Azienda Hospital Padova, Padova

[41] Magg. della Carità Hospital Novara, Novara

[42] Mellino Mellini Hospital Brescia, Brescia

[43] Hospital of Barletta Bari, Bari

[44] Ottonello Institute Bologna, Bolognia

[45] Vimercate Civil Hospital Milano, Milano

[46] Hospital of Sassari, Sassari

[47] S.M.N. Hospital Firenze, Firenze

[48] Hospital of Partinico Palermo, Palermo

[49] F. Iaia Hospital Bari, Bari

[50] O. Malpighi Hospital Bologna, Bologna

来源：

Annals of General Psychiatry | / 6卷 / 1期

关键词：

Schizophrenia; Subjective Wellbeing; Personality Disorder; Atypical Antipsychotic; Brief Psychiatric Rate Scale;

D O I：

10.1186/1744-859X-6-29

中图分类号：

学科分类号：

摘要：

Background: The PERSEO study (psychiatric emergency study and epidemiology) is a naturalistic, observational clinical survey in Italian acute hospital psychiatric units, called SPDCs (Servizio Psichiatrico Diagnosi e Cura; in English, the psychiatric service for diagnosis and management). The aims of this paper are: (i) to describe the epidemiological and clinical characteristics of patients, including sociodemographic features, risk factors, life habits and psychiatric diagnoses; and (ii) to assess the clinical management, subjective wellbeing and attitudes toward medications. Methods: A total of 62 SPDCs distributed throughout Italy participated in the study and 2521 patients were enrolled over the 5-month study period. Results: Almost half of patients (46%) showed an aggressive behaviour at admission to ward, but they engaged more commonly in verbal aggression (38%), than in aggression toward other people (20%). A total of 78% of patients had a psychiatric diagnosis at admission, most frequently schizophrenia (36%), followed by depression (16%) and personality disorders (14%), and no relevant changes in the diagnoses pattern were observed during hospital stay. Benzodiazepines were the most commonly prescribed drugs, regardless of diagnosis, at all time points. Overall, up to 83% of patients were treated with neuroleptic drugs and up to 27% received more than one neuroleptic either during hospital stay or at discharge. Atypical and conventional antipsychotics were equally prescribed for schizophrenia (59 vs 65% during stay and 59 vs 60% at discharge), while atypical drugs were preferred in schizoaffective psychoses (72 vs 49% during stay and 70 vs 46% at discharge) and depression (41 vs 32% during stay and 44 vs 25% at discharge). Atypical neuroleptics were slightly preferred to conventional ones at hospital discharge (52 vs 44%). Polypharmacy was in general widely used. Patient attitudes toward medications were on average positive and self-reported compliance increased during hospital stay. Conclusion: Results confirm the wide spread use of antipsychotics and the increasing trend in atypical drugs prescription, in both psychiatric in- and outpatients. © 2007 Ballerini et al; licensee BioMed Central Ltd.

引用

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